Transcript Planning for Hospital Emergency Preparedness, Response and
Planning for Hospital Emergency Preparedness, Response and Recovery
INTRODUCTION
Role of Hospitals in Emergency Management (AO 6-B s. 1999)
Hospital shares the goal:
“To promote health emergency preparedness among general public and to strengthen the health sector’s capability to respond to emergencies, disasters or calamities”
Role of Hospitals in Emergency Management (AO 168 s, 2004)
The hospital shares the DOH mission:
“To lead in the formulation of comprehensive, integrated, and coordinated health sector response to emergencies and disasters”
Hyogo Framework for Action (2005-2015)
World Conference on Disaster Reduction in in Kobe, Japan in 2005 One of the key priorities for action
“Promote the goal of “hospitals safe from disasters”
Inter-agency Task Force of the ISDR made
Hospital”
campaign (2008 – 2009)
“Safe
as the focus of the global risk reduction
Significant Roles of a Hospital in Emergency or Disaster
Receiving end of victims Responders to emergencies/disasters Direct life saving roles Symbol of social progress Prerequisite for social stability and economic development
Role of Hospital in Management of Emergencies
To
protect public safety and public health
, a hospital and its emergency services need: • Capacity to reduce vulnerabilities • Capacity to respond • Capacity to recover From: WHO – PHEMAP Course
Bureau of Licensing and Regulation
“Submission of “Hospital Emergency Preparedness, Response, and Recovery Plan” is a requirement prior to the issuance of new hospital licenses to operate and renewal of existing licenses”
Risk Management in Hospital Planning
Disaster Management Cycle Disaster Impact
Response Preparedness Development Mitigation Recovery Prevention
Protect life, property, environment Mitigate loss of services Promote Cooperation Among sectors And agencies
HEM Planning
?
Use efficiently Available resources Create systems and networks for responding To and recovering from emergencies
“Hospital Emergency Preparedness, Response and Recovery Plan Development ‘08”
Preparedness
measures to build capacities to respond to, and recover from emergencies
Capacity
• • • • ability to manage risks by: reducing hazards reducing vulnerabilities reducing consequences by responding to, and recovering from emergencies • In terms of: Organization; systems; resources and partnership
Emergency Management Plan
An agreed set of arrangements for: responding to, and recovering from emergencies
Emergency Management Plan
A plan containing description of: Responsibilities Command & coordination mechanism Management structures Resource management Information management and communication Training and exercises
Risk Management
is a comprehensive strategy for reducing threats and consequences to public health and safety of
communities
by:
preventing exposure
to hazards (target = hazards)
reducing vulnerabilities
(target group = community)
developing response and recovery capacities
(target group = response agencies)
1.
Hospital emergency Preparedness, Response and Recovery Plan
Emergency Preparedness Plan or A risk reduction plan includes:
A
hazard prevention
plan A
vulnerability reduction
plan An
emergency preparedness
plan (or capacity development plan)
Hazard Prevention Plan
plan to prevent exposure to hazards not all hazards are predictable or preventable Strategies/activities to prevent exposure to hazard
Vulnerability Reduction Plan
Plan to reduce consequences of exposure to hazards Identify vulnerabilities specific to the five elements of the community Strategies/activities to reduce the vulnerabilities Building resilience of the hospital to withstand impact and consequences of hazard
Emergency Preparedness Plan
1.
Plan to build response capacity of the hospital Policies, Protocols, Guidelines and Procedures 2.
3.
4.
5.
6.
7.
8.
9.
10.
Plans People Promotion and Advocacy Partnership Building Physical (Facility Enhancement) Program Development Practices Peso and Logistics Package of Services
2. Emergency Response Plan
to use existing response capacity, includes :
Policies for direction and plans to be activated Systems and Procedures to be activated/implemented Organized team to respond to emergencies Available logistics and funds for the operation Established networks for emergency management
Emergency Response Plan
use existing capacities to deliver relief or response mobilization of resources use of developed systems for emergency management actual implementation of guidelines/proedures for the developed systems
3. Recovery and Reconstruction Plan
A plan to restore services and replace damaged elements of hospital for the better
Emergency Planning Process Analyze resources Define the plan Form Planning Group Describe Roles and Responsibilities Hazard Analysis Vulnerability Analysis Describe Management Structure Risk Analysis Problems/Gaps Analysis Develop Strategies and Systems
“Hospital Emergency Preparedness, Response and Recovery Plan Development ‘08”
Elements of Hospital Preparedness, Response and Recovery Plan
I. Background II. Plan description III. Goals and objectives IV. Planning Group V. Emergency Preparedness Plan
Hazards prevention Vulnerabilities reduction Risk reduction
VI. Management Structures VII. Roles and responsibilities
Elements of Hospital Preparedness, Response and Recovery Plan
VIII. Hospital Response Plan
Policies, guidelines, protocols for the developed systems
IX. Recovery and Reconstruction Plan X. Annexes
Glossary Abbreviations Directory of contact persons Inventory of resources of hospital and partner agencies Hospital policies, guidelines, protocols, and other issuances relevant to emergency or disaster management
Hospital Emergency Planning Process
I. Background
Write in narrative form the background of your region or agency including the provinces, municipalities/communities within your area of jurisdiction. Some data are better presented in tabular or graph forms for faster and easier comprehension of the reader or user.
Background
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Name of the Hospital and address (narrative) Geographic description (location: Low lying area? Etc.) Demographic profile of catchments communities Hospital Profile Health statistics of the hospital (IMR, MMR, etc.) Health facilities found in the municipality/city (tabular) Health services areas/departments of the hospital Manpower complementation of the hospital Disasters responded/managed Legal issuances establishing its authority in HEM
Significance:
a.
b.
c.
d.
e.
f.
Picture of the site and location of the hospital Catchments areas provided with hospital services Health resources in and around the hospital Existing capacity and capability of the hospital Partner agencies around the hospital Anticipated hazards as basis for hospitals’ capacity and capability building
II. Plan Definition
Aim, objectives, and scope Tasks to be performed Resources to be needed Framework which emergencies will be managed
Plan Definition
B rief description of the content of the plan Specific intentions relevant to set goals and objectives. Include the coverage, scope and limitations. Include the legal basis whereby the hospital is authorized to act in disaster situations Legal issuances detailing the roles and functions of hospitals in managing all phases of emergencies or disasters
Example: PLAN DEFINITION
The JRMH Health Emergency Preparedness and Response Plan defines the direction of the hospital in preparing for an effective and efficient response in any event of emergency or disaster. This embodies a set of strategies and activities based on the hazards and vulnerabilities or risk analysis of the hospital.
Example:
Context of JRMH HEPRRP
The the
JRMH Preparedness Plan
contains strategies & activities that the hospital will carry out to build and enhance hospital capacity to respond to emergency or disaster, whereas its
Response Plan
includes strategies and activities in utilizing hospital resources for effective and efficient response during emergency or disaster. Likewise, this Response Plan includes policies, protocols, guidelines and procedures pertaining to various emergency management systems for more efficient response. The third set is
Regional Recovery or Rehabilitation Plan
which entails strategies and activities in mainstreaming the hospital back to its prepared position for any forthcoming eventuality.
The JRMH Emergency Preparedness and Response Plan includes the inventory of its internal and external resources, in terms of inventory lists and directories, in the context of human resources, logistics, financial sources, existing systems and services. These are all found in the annexes of the plan.
Scope of the Plan
This Plan shall be implemented, by the JRMH together, (but not limited) with all other members of the regional hospital network concerned with emergency or disaster management.
Significance:
Who will implement the plan Extent of implementation including limitations
III. Goals and Objectives
Gives the purpose of the plan from a broader to more specific perspectives.
Example : Goal:
To build the hospital capacity for effective and efficient response to and recovery from emergency
Objectives:
To strengthen the hospital HEPRRP To develop systems and guidelines for emergencies To develop human resource competencies To upgrade hospital facility for better services To ensure availability of funds and logistics in times of emergency or disaster
IV. Planning Committee
Hospital Planning Committee include major stakeholders Permanent or “AD HOC Group” which convenes only for hospital emergency planning purposes. This group shall be created through a hospital order.
Roles and functions of the planning group/committee Develops, reviews and updates the HEPRRP Gathers required information and gain commitment of key people and organizations Initiates testing of the plan for its functionality and adaptability to current situation i.
Example: Planning Committee Structure
Hospital Director/CMPS/HEMS Coordinator Representative from Planning Division Representative from Administrative Division (especially finance and logistics officers) Representative from areas of hospital operation Representative from the community
Hospital Planning Committee Structure
Hospital Director/CMPS/ HEM Coordinator Representative from areas of hospital operation Representative from Administrative Division Representative from Planning Division Representative from the community
V. Emergency Preparedness Plan Development
1. Hazard assessment
Identifying all the possible hazards that have the potential to affect the hospital Identify the possible areas to be affected
Hazards Areas commonly affected
Translate into a Hospital Hazard Map
Example of Hospital Hazard Map
Legend:
Fire Earthquake Flood
OPD ER Laboratory Radiology Admitting Sect.
Billing Sect.
OB Ward EENT Ward Urology Ward Ortho Ward Delivery Rm.
Pedia Ward Medicine Ward Surgery Ward OR OR
Recovery/Rehabilitation Plan
Hazard Hospital
People Property Environment Services Livelihood (Vulnerable)
Capacities used To manage Risks Risks
People Property Environment Services Livelihood (Damages Needs)
Emergency Disaster Recovery/ Rehabilitation
Hazard Reduction/Prevention Plan
Hazard Strategies/ Activities Time Frame Resource Requirement Req’d.
Avail.
Source Person Resp.
Indi cators
Risk Analysis
Identified Hazards Impact to hospital (Risks)
1. Property: Structural; Non structural; Funtional Components 2. People 3. Services 4. Environment 5. Livelihood
Risk Assessment
Hazards Vulnerabilities
People Properties Services Environment Livelihood
Risks
Probability of death Probability of spread of the disease Prob. Of disease or injury (mental, physical) Prob. Of contamination Prob. Of displacement Prob. Of loss of income or property Prob. Of breakdown in security Prob. Of breakdown in essential services
Preparedness Plan
Capacity (10P’s) Hospital weaknesses Strategies/ Activities Time Frame Resource Req’t.
Req’d Avail Source Person Resp.
Indi cators
From the results of the self assessment of the hospital, list down all the weaknesses based on the expected hospital capacities. List down all the strategies and activities to be done for capacity development.
Recovery/Rehabilitation Plan
Hazard Hospital
People Property Environment Services Livelihood (Vulnerable)
Capacities used To manage Risks Risks
People Property Environment Services Livelihood (Damages Needs)
Emergency Disaster Recovery/ Rehabilitation
Vulnerability Assessment
Impact to hospital (Risks)
1. Property: Structural; Non structural; Funtional Components 2. People
Why did Risks happen?
(Vulnerabilities)
1. Property: Structural; Non structural; Funtional Components 2. People 3. Services 4. Environment 5. Livelihood 3. Services 4. Environment 5. Livelihood
Vulnerability Reduction Plan
Hazard Vulne rability Strategies/ Activities Time Frame Resource Req’t.
Req’d Avail Source Person Resp.
Indi cators
Activities during Response Phase
Utilization of capacities built Activation of plans and systems developed Activation of OPCEN Mobilization of resources Management of emergency cases Validation and constant monitoring of the event
Hospital Emergency Management Policies, Guidelines, Procedures and Protocols
1.
f.
a.
b.
Available procedures, protocols, for emergency management Security system Public Information System c.
d.
e.
Incident Command System Information Management System MHPSS Blood and blood products mobilization
Hospital Emergency Management Policies, Guidelines, Procedures and Protocols
1.
i.
j.
g.
h.
Available procedures, protocols, for emergency management Code Alert System Infection Control k.
System to expand services, spaces and beds in case of surge of patients System on drills/simulation exercises Stockpiling of emergency medicines and supplies
Hospital Emergency Management Policies, Guidelines, Procedures and Protocols
1.
l.
Available procedures, protocols, for emergency management m.
SOP on Operation Center Referral System Procedures n.
o.
Logistics management system Decontamination procedures
D.
Hospital Emergency Management Policies, Guidelines, Procedures and Protocols
2.
f.
a.
Manual for the operation, preventive maintenance, and restoration of critical services Electrical supply and back-up generators b.
c.
Drinking water supply and alternate sources Fuel reserves d.
e.
g.
Medical gases Back-up communication system Wastewater and solid waste water treatment Fire suppression
D.
Hospital Emergency Management Policies, Guidelines, Procedures and Protocols
3.
a.
Hospital policies on emergency/disaster management Hospital policies related to disaster management b.
Policy on managing volunteers during emergency
VI. Response Plan
A. Management Structures Incident Commander Safety Officer Public Info. Officer Liaison Officer Operations Logistics Planning Administrative/ Finance
“Hospital Emergency Preparedness, Response and Recovery Plan Development ‘08”
Response Plan
a.
b.
c.
d.
e.
f.
g.
Activation of Code Alert System Activation of the Plan Activation of the ICS Activation of the Operation Center Implementation of the RESPONSE Standard Operating Procedures/ Protocols Emergencies Implementation of existing Standard Operating Procedures/Guidelines for systems developed Initiation and Maintenance of Coordination and networking for referrals of cases
Response Plan
h. Initiation and Maintenance of Mental Health and Psychosocial Support Services for casualties, patients, hospital staff and other responders, bereaved i Management of Information j. Activation of plan in the event of complete isolation of hospital/CHD/community for auxiliary power, water and food rationing, medication/ dressing rationing, waste and garbage disposal, staff and patient morale k. Provision of the Public Health Services l. Management of the Dead
Recovery/Rehabilitation Plan
Hazard Hospital
People Property Environment Services Livelihood (Vulnerable)
Capacities used to manage Risks Risks
People Property Environment Services Livelihood (Damages Needs)
Recovery/ Rehabilitation Emergency Disaster Capacities Utilized, Damaged
Recovery/Rehabilitation Plan
Damages/ utilized Resource Req’t.
Resp. Person Time Frame Indicators
Next Actions
1. Write the Plan and have it approved by the head of the agency. The Plan is not a plan until written and approved by the head of agency 2. Disseminate the plan to all the stakeholders and staff. Everyone needs to know the plan so that in emergency no one would ever say, “he does nothing cause he knows nothing”.
3. Test the plan . The plan is believed to be effective only when it is tested, be able to know its functionality, acceptability, and doability in the hands of the implementers.
Update the plan 4.
Implement the plan.
5. Monitor and evaluate the implementation of the plan 6. Review and update the plan regularly.